Mozambique Country Update

Ms. Aleny Mahomed Couto Head of STI and HIV Program - MOH 7 November 2018

Outline

•  CQUINDashboardresults•  Successesandchallenges•  Targetsandmonitoring•  Nextsteps

The CQUIN Learning Network

Mozambique Dashboard Results

Mozambique Dashboard Results – 2

Outline

•  CQUINDashboardresults•  Successesandchallenges•  Targetsandmonitoring•  Nextsteps

The CQUIN Learning Network

DSD Scale-up Success:

•  DSDguidelinesfinalizedandlaunched– CoversDSDfortes@ng,preven@on(keypopula@ons),careandtreatment

– ApprovedmodelsincludeCASG,fasttrack,mul@-monthprescrip@on,onestopmodels

– Expansionofpilots,likefamilyapproachandadherenceclubs

•  TrainingoftrainerscompletedOctober2018

The CQUIN Learning Network

DSD Scale-up Challenges:

•  Financialconstraintsfortrainingofproviders– Needtotrainstaffat1,447healthfacili@es– Nego@a@onsongoingwithPEPFARtosupporttrainings

•  FinancialchallengetoadoptEarlyMorningRefillsaWeritwaspiloted•  MonitoringandEvalua@on(Mozambiques@llusespaper-basedsystem):–  nego%a%onsinplacetoreportallDSDMthroughelectronicsystemsbypartners

The CQUIN Learning Network

Outline

•  CQUINDashboardresults•  Successesandchallenges•  Targetsandmonitoring•  NextSteps

The CQUIN Learning Network

DSD Targets and Monitoring

•  Notargetshavebeensetatthena@onallevelforappointmentspacing,mul@-monthdrugdistribu@onandCASG

•  Howisperformancemonitored?– 3monthdrugdistribu@on– AppointmentSpacing/Fasttrack– CASG–  FamilyApproach– AdherenceClubs– CommunityDispensingofARVs– Onestopshop:MCH,TB,Youth

Monitoredcurrentlybypartnersthroughelectronicsystemusingactualtools

DSDthatcanbemonitoredthroughelectronicsystemsonlyaWertheintroduc@onofnewtoolsinMarch2019

DSD Targets and Monitoring - 2

Howisperformancemonitored?•  Atna@onallevel,CASGarereportedrou@nelyusingpaper-basedsystemandaggregateddataisenteredinthemonthlyinforma@onsystem(MIS)

•  Mul@-monthdrugdistribu@onandappointmentspacingarebeingreportedthroughpartnersonamonthlybasisfromonly63sitesthathaveelectronicM&Esystem

•  Familyapproachisreportedindifferentwaysbypartnersinmonthlybasis

•  AdherenceclubsareimplementedatMSFsiteswhoprovidemonthlyandquarterlyreports

The CQUIN Learning Network

Outline

•  CQUINDashboardresults•  Successesandchallenges•  Targetsandmonitoring•  NextSteps

The CQUIN Learning Network

Next Steps

•  Completetrainingofhealthfacili@es•  ConsolidateDSDexpansion–3monthsna@onalcampaigntoputpa@entsonDSD

–  Targetistoreach30%ofthoseeligibleduringthefirstphaseofrapidscaleup(Dec2018toMarch2019)

•  Scaleupcommunityoutreachrefillmodel,observedduringsouth-to-southvisitstoEswa@niandMalawi

•  SetuptargetsandindicatorsforDSD:•  Coverage:%ofHFwithDSD;%ofnewenrollmentsatDSD;%ofpa@entsac@veonDSD•  Impact:%ofpa@entatDSDwithviralsuppression;%ofpa@entsatDSDretainincareat12,24and36months

•  Integraterepor@ngofDSDmodelsintoelectronicsystems(partners)andinthelongterm,intoDHISII(MIS)

The CQUIN Learning Network